DR. DAVID CARLISLE BRYAN M.D. NPI 1336138791

NPI Information

NPI: 1336138791
Provider Name: DR. DAVID CARLISLE BRYAN, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
50 ALESSANDRO PL
SUITES A30 & A40
PASADENA, CA
ZIP 91105
Phone: (626) 793-6141
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DR. David Carlisle Bryan, M.D. is a diagnostic radiology radiology in Pasadena, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. David Carlisle Bryan, M.D. NPI is 1336138791. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

50 ALESSANDRO PL
SUITES A30 & A40
PASADENA, CA
ZIP 91105-149
Phone: (626) 793-6141
Fax: (626) 796-0172

The enumeration date for this NPI number is 10/18/2005 and was last updated on 9/19/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085B0100X	Radiology	Body Imaging	G17464	CALIFORNIA	No
2	2085N0904X	Radiology	Nuclear Radiology	G17464	CALIFORNIA	No
3	2085R0204X	Radiology	Vascular & Interventional Radiology	G17464	CALIFORNIA	No
4	2085U0001X	Radiology	Diagnostic Ultrasound	G17464	CALIFORNIA	No
5	2085R0202X	Radiology	Diagnostic Radiology	G17464	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	A40090	MEDICARE UPIN	CALIFORNIA
2	00G174640	MEDICAID	CALIFORNIA
3	WG17464A	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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